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Nursing

Applications, Requirements, Practice Information & Fees - APRN

Notice: The fee for criminal background checks increased on January 1, 2017. The new fee is $45.25.

Nebraska State Patrol fingerprinting locations
This site also includes a link to other public LiveScan fingerprinting locations in Nebraska. 

Credential Information for Military Spouses

Applications
 
 
Fees 

Requirements and Practice Information

 Please review the application instructions carefully as they provide additional information relating to the requirements to obtain a license.  The following is a short summary of only the education, exam and/or experience requirements.
 
APRN - Certified Nurse Midwives
CNMs are authorized, under the provisions of a written practice agreement with a collaborating licensed practitioner, to provide delegated medical acts including managing care during pregnancy, labor, delivery and after-birth phases for both the mother and newborn. CNMs may also provide gynecological and women’s health service at times other than pregnancy. A CNM may not attend a home delivery.
Prescribing of Schedule II Controlled substances is limited to pain control only and only for up to 72 hours. There is no legal requirement for direct supervision or for co-signature on any records.
 
Requirements:
  1. Hold a current RN license in Nebraska or a multi-state license from another compact state under the Nurse License Compact Act.
  2. Have completed an approved nurse midwifery education program that has been accredited by the American College of Nurse Midwives.
  3. Have passed the national certification examination given by the American College of Nurse Midwives.
  4. Within the previous 5-years, have graduated or practiced as a nurse midwife.
  5. Complete a fingerprint criminal background check.
Temporary Permit:  A temporary permit may be issued to:
  • Graduates pending results of the 1st examination; or
  • Applicants, for 120 days, who are lawfully authorized to practice in an advanced role in another state pending completion of the application process; or
  • Applicants, who meet all of the criteria for certification as a CNM except the continued competency requirements and who require a re-entry program or supervised practice.
APRN - Certified Nurse Specialist
CNS practice includes health promotion, health supervision, illness prevention, and disease management, including assessing patients, synthesizing and analyzing data, and applying advanced nursing practice.   A CNS conducts and applies research, advocates, serves as an agent of change, engages in systems management, and assesses and intervenes in complex health care problems within the selected clinical specialty.
 
Requirements:
  1. Hold a current RN license in Nebraska or a multi-state license from another compact state under the Nurse License Compact Act.
  2. Have completed a master/doctoral degree in a nursing clinical specialty area or have a master’s degree in nursing and have successfully completed an approved Certification Examination.
      • American Nurses Credentialing Center (ANCC) – CNS examinations in Adult Health, Adult Psychiatric and Mental Health, Advanced Diabetes Management, Child/Adolescent Psychiatric and Mental Health, Community Health, Gerontological Nursing, or Pediatric Nursing
      • American Association of Critical-Care Nurses (AACN) – CNS examinations in Adult Acute and Critical Care, Neonatal Acute and Critical Care, Or Pediatric Acute and Critical Care.
      • Oncology Nursing Certification Corporation – Advance Oncology CNS examination.

If a certification is not available to you and you wish to use an alternate method of competency assessment, please call 402-471-4376.  You must have BOARD approval to use an alternate method of competency assessment.

APRN – Certified Registered Nurse Anesthetist
CRNAs are authorized to determine and administer total anesthesia care in consultation and collaboration and with the consent of a licensed practitioner (physician or osteopathic physician). A request from the physician for anesthesia services by the CRNA is considered consent. CRNAs are specifically authorized to/for:
  • Provide preanesthesia evaluation including physiological studies to determine proper anesthetic management and obtaining informed consent;
  • Selection and application of appropriate monitoring devices;
  • Selection and administration of anesthetic techniques;
  • Evaluation and direction of proper post anesthesia management and dismissal from post anesthesia care; and
  • Evaluation and recording of post anesthesia course of patients.
 
The above identified duties include the provision of pain management services.
 
CRNAs may also be authorized to provide other duties that are normally considered medically delegated duties. Such duties shall be determined and under the joint responsibility of the governing board of the hospital, medical staff, and nurse anesthetist personnel of a licensed hospital, clinic, or office. All such duties, except in the case of an emergency, shall be in writing. CRNAs are eligible for federal controlled substance registration and may prescribe controlled substances related to the determination and administration of total anesthesia care.
 
Requirements:
  1. Have a current Registered Nurse license in Nebraska or a multi-state license from another compact state under the Nurse Licensure Compact Act;
  2. Have completed an advanced course of study preparing you for your Nurse Anesthetist role
  3. Have taken and passed the National Certification Examination (NCE) given by the Council on Certification of Nurse Anesthetists.
  4. Within the previous five years, have graduated or practiced in the nurse practitioner-anesthetists specialty role; and
  5. Complete a fingerprint criminal background check.
Temporary Permit:  A temporary permit may be issued to:
  • Graduates, for 60 days or until the results of the examination are known, who have not previously taken an approved credentialing examination and who meet all of the requirements for licensure as an CRNA except having passed an approved examination.
  • Applicants, for 120 days, who are lawfully authorized to practice in an advanced role in another state pending completion of the application process; or
  • Applicants for purposes of a reentry program or supervised practice.
APRN – Nurse Practitioner
APRN-NPs practice in collaboration and consultation with physicians and other health care practitioners. APRN-NPs are eligible for federal controlled substance registration. APRN-NPs may prescribe controlled substance Schedules II through V. APRN-NPs may receive samples.
 
Requirements:
  1. Have a current Registered Nurse license in Nebraska or a multi-state license from another compact state under the Nurse Licensure Compact Act.
  2. Have completed an approved program which included both a didactic component and a preceptorship of five hundred contact hours, and includes instruction in biological, behavioral, and health sciences relevant to practice in a specific clinical specialty area. You must have a master’s or doctoral degree to qualify to practice.
  3. Have successfully completed thirty (30) contact hours of academic education in pharmacotherapeutics.
  4. In addition to the pharmacotherapeutics coursework, you need to have separate coursework in Advanced Health Assessment and pathophysiology or psychopathology.
  5. Have taken and passed a national credentialing examination pertaining to the specific Nurse Practitioner role in nursing that has been approved by the APRN Board.   
  6. Within the previous five years, have graduated or practiced a minimum of 2080 hours within the specific Nurse Practitioner role.
  7. Complete a fingerprint criminal background check.

Requirement to Practice:

In addition to the above requirements for licensure, you will need to have practiced as an APRN-Nurse Practitioner for a minimum of 2000 hours (attestation on application) or submit a Transition to Practice form.

You also need to attest that you have or will have personal or employer-provided professional liability insurance prior to practice (attestation on application).

LB 107 eliminated the requirement for a nurse practitioner to have an integrated practice agreement with a collaborating physician.  If you are a Nurse Practitioner who has practiced a minimum of 2,000 (two thousand) hours as a Nurse Practitioner, you do not need to do anything.  You simply will not be required to have an integrated practice agreement with a collaborating physician after the effective date.  However, if you have NOT practiced as a Nurse Practitioner a minimum of 2,000 (two thousand) hours, you will need to submit to the Department a Transition to Practice agreement.  The Transition to Practice agreement must be with a supervising provider who may be a physician, osteopathic physician or nurse practitioner.  The supervising provider must be licensed and practicing in Nebraska in the same practice specialty or related specialty. 
 
Transition to Practice Agreement  
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